Republic of Chile/Canada Agreement - Application for CPP Disability Benefits - ISP5053-CHL
Purpose
For persons residing in Chile to apply for Canada Pension Plan Disability Benefits under the Agreement on Social Security between Canada and the Republic of Chile.
Group
International Benefits - Application Forms for Canadian Benefits
Forms
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Important Information
For the form to work properly (including Digital signatures), you must first save it on your computer, and reopen it with Adobe Acrobat Reader to add information. Then resave once completed.
Questionnaire for Disability Benefits Canada Pension Plan
PDF: Download ISP-5050, 499 KB, printed on 7 pages (8.5x11)
Consent for Service Canada to Obtain Personal Information - Service Canada's Copy
PDF: Download ISP-5051, 175 KB, printed on 2 pages (8.5x11)
Medical Report
PDF: Download ISP-5052, 185 KB, printed on 4 pages (8.5x11)
The Republic of Chile/Canada Agreement - Application for CPP Disability Benefits
PDF: Download ISP-5053-CHL, 105 KB, printed on 4 pages (8.5x11)
The Republic of Chile/Canada Agreement - Guide for CPP Disability Benefits
PDF: Download ISP-5053A-CHL, 121 KB, printed on 8 pages (8.5x11)
Guía para completar una solicitud de prestaciones de invalidez del Plan de Pensiones de Canadá y sus formularios pertinentes en virtud del Convenio sobre Seguridad Social entre Canadá y la República de Chile
PDF: Download ISP-5053A-CHL, 230 KB, printed on 8 pages (8.5x11)
Consent for Service Canada to Obtain Personal Information - Physician's Copy
PDF: Download ISP-5060, 177 KB, printed on 2 pages (8.5x11)